改善女性退伍军人的自杀预防:VHA自杀预防协调员的建议
Lauren S Krishnamurti1, Lauren M Denneson2, Aneeza Agha3
1U.S. Department of Veterans Affairs, Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, Pittsburgh, PA, United States of America.
General hospital psychiatry
|July 2, 2023
概括
女性退伍军人面临着独特的挑战,即获得退伍军人卫生管理局 (VHA) 的护理,特别是自杀预防. 改善护理需要性别敏感的提供者和包容性环境来解决他们的特定需求和担忧.
科学领域:
- 公共卫生 公共卫生
- 心理健康 心理健康
- 退伍军人事务 退伍军人事务
背景情况:
- 妇女退伍军人是一个少数群体,存在高自杀风险.
- 他们在获得退伍军人卫生管理局 (VHA) 护理时面临着不同的挑战.
- 自杀预防协调员 (SPC) 将高风险退伍军人与VHA服务联系起来.
研究的目的:
- 探索女性退伍军人与自杀风险接触到VHA护理的经验.
- 从SPC的角度了解他们的护理需求,偏好和担忧.
- 确定障碍和建议,以改善女性退伍军人的自杀预防.
主要方法:
- 对13个VAMC的20个SPC进行了定性采访.
- SPC分享了女性退伍军人的护理障碍和建议的见解.
- 使用主题内容分析来确定关键主题.
主要成果:
- 妇女退伍军人避免VHA由于负面经验,包括缺乏提供者的敏感性.
- 安全问题源于在男性占主导地位的VHA环境中感到不受欢迎.
- 建议包括增加性别敏感的提供者和调整物理空间.
结论:
- 女性患者和提供者之间的舒适性和相关性对于自杀风险护理至关重要.
- 加强自杀预防需要对女性退伍军人提供更具包容性和敏感的VHA护理.
- 解决女性退伍军人的经历和身份是更好的参与的关键.
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